January 2011 – Page 10 – Warren Throckmorton

Administration reverses course on end-of-life care planning regulation

UPDATE: I just spoke with an Obama Administration official who said the new proposed rule would be published at 4:15pm today in the Federal Register. This will allow for comment. He also confirmed to me that the advance care planning provision remains in the initial Welcome to Medicare visit with a physician. That provision was included by via statute during the Bush Administration in 2008. In other words, all of the bluster from social conservatives is a bit late. The Administration official indicated that the rule had been removed in order to give the public opportunity to indicate their views on the issue. He noted the misrepresentation of the issue and the Administration did not want the political process to jeopardize the existing benefits.

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Annual voluntary advance care planning, we hardly knew ya.

Last week, I defended a new Medicare regulation which would have added advance end-of-life care planning to the definition of what could take place during the new Annual Wellness Visits authorized by the Affordable Care Act (ACA), otherwise known as ObamaCare. Some conservatives demonized this rule as the return of “death panels” in an effort to frighten voters. I don’t know whether or not the public was frightened, but according to the New York Times, these false characterizations scared the administration so much that the rule is being deleted.

And this is sad because this is case where spin and misinformation won out over fact and good sense. The truth is the Medicare regulation did not create a new reimbursable benefit and did not bring back “death panels.” The regulation added one voluntary component to the annual wellness visit – a discussion of the patients’ wishes if they become unable to express themselves during illness or injury. Physicians were not going to be paid separately for this conversation; they will still do the annual wellness visit and focus on many other issues of prevention and health maintenance. And here is the kicker, physicians can still bring up advance care planning if they want to.

Social conservatives who ranted about government involvement in end-of-life decision either had not read the regulation or were intentionally misleading people.

But now the administration without attribution has shifted course and it is quite unclear why.

Since yesterday morning, I have been seeking answers from the HHS press office and will comment more as I get more information.

Here is an AP piece on the matter…

World Net Daily hearts the Pink Swastika

In a given month, World Net Daily numbers page views in the millions; I number mine in the thousands. So I know that repeating the critique of the Pink Swastika will not reach the number of people now misled by WND but here goes anyway…

WND has a superstore with an apparently spanking new edition of Scott Lively’s The Pink Swastika in it. WND site owner Joseph Farah gives a shout out to TPS without addressing any of the criticisms. He says he has read all of the criticism, but he attributes it to “homosexual bloggers.” Well, I am not a homosexual blogger; Grove City colleague and historian Jon David Wynekin is not a homosexual blogger and we spent lots of time and detail demonstrating the flaws in the book. Campus Crusade for Christ is not a homosexual blogger organization and it removed an exerpt of The Pink Swastika from one of their websites. Exodus International is not a homosexuality affirming organization but they removed the link to The Pink Swastika. NARTH is hardly a gay affirming bunch but they removed all references to Scott Lively and The Pink Swastika.

Maybe Joseph Farah didn’t know that; maybe he doesn’t care, having already made up his mind.

Slain Pakistani Governor had received death threats

As is being widely reported, the governor of Pakistan’s Punjab province, Salman Taseer, was assasinated earlier today by his own security guard. The guard apparently heeded the fatwa issued by Islamic extremists who were angry about Taseer’s advocacy for Asia Bibi, a Christian mother of five who was recently sentenced to death for allegedly insulting Islam. Taseer had petitioned the government for her pardon.

Over the past several weeks, I have had contact with Raza Anjum, a city Councillor from the UK, who is in Pakistan trying to win freedom for Asia Bibi. Just hours after the shooting, Anjum (on left below) issued a statement describing a meeting he had with Governor Taseer less than a week ago. In that meeting, Taseer (on the right in the picture below) said that a fatwa had been issued on him due to his support for Asia Bibi and his opposition to the nation’s blasphemy laws.

Anjum said that Taseer spoke strongly against religious extremism, saying that “one needs to be determined and brave in standing up for human rights,” adding that “the extremists aim to install fear in the minds of the people.” According to Anjum, Taseer said he was “prepared to stand up to them to help bring about a progressive and peaceful Pakistan.”

That peaceful Pakistan now seems elusive.

On New Year’s Eve, thousands went on strike warning of violence if the government amended the blasphemy laws or freed Asia Bibi. On Sunday, the second largest political party in Pakistan pulled out of the coalition goverment citing corruption and economic differences.

About the tragedy, Anjum said, “The assassination of Salman Taseer is a huge blow to all those who are working for an enlightened and progressive Pakistan. His death has left the country in shock at a time when it faces an imminent political crisis.”

On Taseer’s Twitter page, an associate posted “R.I.P. Lion of the Punjab Salmaan Taseer (31 May 1944-04 Jan 2011)” According to Mr. Anjum, the Pakistan People’s Party said it would observe two weeks of mourning over Taseer’s death. Prime Minister Syed Yusuf Raza Gilani “strongly condemned” the incident, according to CNN.

Here is a Wall Street Journal news report that fills in additional information:

Governor of Pakistan’s Punjab province killed by his own security guard

This is a shocking and ominous development in Pakistan. Increasing calls from outside Pakistan for reform of blasphemy laws and the release of Asia Bibi has been met with a rise in violence from far right Islamic forces.

Islamabad, Pakistan (CNN) — The governor of Pakistan’s Punjab province, Salman Taseer, was assassinated by his own security guard Tuesday, according to Interior Minister Rehman Malik, apparently because he spoke out against the country’s controversial blasphemy law.

The security guard was arrested, Malik said. The shooting occurred at Islamabad’s Kohsar Market, which is frequented by foreigners.

Taseer went into the market to make some purchases, and he was shot by his guard as he left, said Naeem Iqbal, spokesman for Islamabad police. He was taken to a hospital, where he died, apparently from blood loss.

Malik told Pakistan’s GEO TV that Taseer was assassinated because he spoke out against Pakistan’s blasphemy law.

A spotlight was put on the law in November when a Christian woman, Asia Bibi of Punjab province, was sentenced to death for blasphemy. A court found the 45-year-old woman guilty of defiling the name of the Prophet Mohammed during a 2009 argument with fellow Muslim field workers.

When I spoke recently with Raza Anjum, UK city official now in Pakistan trying to win the release of Asia Bibi, he told me that Taseer was a fair man who saw the injustice being done in the name of Islam. He spoke out in her favor and worked to get a fair hearing for her case. For that reason, he was under constant threat.

Pakistan is no stranger to such violence but the issues surrounding the blasphemy laws appear to be giving extremists a rallying cry for opposition to moderate elements. The government recently demonstrated weakness by backing away from a bill that would reform the blasphemy laws. It shows no signs of an effective response to the far right.

I will be adding updates and information as I get it. Here is an interview with Taseer about why he took up Asia Bibi’s cause. Note his confidence in the ruling party. This was before the party began to capitulate to extremists.

Who not to vote for in 2012

Bryan Fischer is doing people like me an enormous favor. He is handicapping the 2012 GOP field and will apparently in his next column tell us who he thinks would a great GOP candidate for President. Knowing what I know thus far, this should be a pretty good sign of not to vote for in 2012.

First, he claims evangelicals are key to the next election. This could be true if they voted as a group. However, as Fischer points out, 2008 saw erosion in this demographic with seven million evangelicals preferring Obama over McCain. Two years from now, a case could made that evangelicals will continue to fragment with moderates and social justice evangelicals going one way and social conservatives another. Fischer’s prescription seems to be an inspiring candidate that is even more socially conservative than McCain. I doubt evangelicals who were attracted to Obama in 2008 (and to be clear, I was not one of them) will rally around someone who is farther to the right than McCain.

Fischer then rules out Mitt Romney, Sarah Palin, Mike Huckabee and Newt Gingrich for various reasons, some of which are on target, some of which are questionable. For instance, for the same reasons Fischer rejects Mitt Romney, I suspect the party as a whole might make him the nominee. He will almost certainly look reasonable and mainstream next to the far right candidate preferred by Fischer.

He promises to reveal who he thinks the GOP should select soon. I suspect it will be Mike Pence or Jim Demint. I know it won’t be Mitch Daniels (someone I believe is a compelling figure). In any case, the revelation will likely help my process of elimination.